Active NPI
Brent Michael Handeland, DC
- Chiropractor
- Firecrest, WA
National Provider Identifier
1326289976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 60013816
- Practice address
- 1117 Garden Circle
Firecrest, WA 98466 - Phone
- (408) 544-0060
- NPI assigned
- Mar 11, 2009
- Last updated
- Oct 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30973 | CA | |
| Chiropractor | 111N00000X | CH 60013816 | WA | Primary |
| Orthopedic Chiropractor | 111NX0800X | DC 30973 | CA |
Addresses
Primary practice location
1117 Garden Circle
Firecrest, WA 98466
Mailing address
1117 Garden Circle
Firecrest, WA 98466
Phone (408) 544-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60013816 | WA | MD | Chiropractor |
| DC 30973 | CA | MD | Orthopedic Chiropractor |
| 30973 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1326289976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 GARDEN CIRCLE",
"city": "FIRECREST",
"state": "WA",
"postal_code": "98466",
"telephone_number": "408-544-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 GARDEN CIRCLE",
"city": "FIRECREST",
"state": "WA",
"postal_code": "98466",
"telephone_number": "408-544-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDELAND",
"first_name": "BRENT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-11",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30973",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH 60013816",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC 30973",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Firecrest, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.